Individual
VINAYA VITTAL GADUPUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 NW 114TH ST STE 342, CLIVE, IA 50325-7036
(515) 222-7600
(515) 222-7601
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7600
(515) 222-7601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD-46821
IA
207RG0100X
Gastroenterology Physician
MD22816
ME
Other
Enumeration date
07/23/2008
Last updated
02/03/2020
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